Kyla Rae Weiss, PT, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

05012557A Issued in IN

Practice address

300 E Broadway St
Loogootee, IN 47553-1708

Phone

(812) 709-3286

NPI assigned

May 7, 2024

Last updated

May 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kyla Rae Gogel Former name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Salience Neurorehab, LLCGroup PAC ID 7618344037, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Salience Neurorehab, LLC

  • Occupational Therapist
  • Ferdinand, IN
  • NPI 1225756026
  Medicare reassignment Care Compare group NPD
• Martin County Urgent Care LLC

  • Urgent Care Clinic/Center
  • Loogootee, IN
  • NPI 1346923414
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1215785282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 S CAROL DR W",
            "city": "SANTA CLAUS",
            "state": "IN",
            "postal_code": "475796118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E BROADWAY ST",
            "city": "LOOGOOTEE",
            "state": "IN",
            "postal_code": "475531708",
            "telephone_number": "812-709-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "KYLA",
        "middle_name": "RAE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "05012557A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLA",
            "last_name": "GOGEL",
            "middle_name": "RAE",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angela Brooke Smith, DDS
• Annemie Smith, DC
• Summit Behavioral Health LLC
• Cassie Janae Wagler, PT, DPT
• Marcia Lynn Wagoner
• Paige M Werner, DPT
• Williams Bros Health Care Pharmacy Inc (Williams Bros Health Care Pharmacy)
• Williams Bros. Health Care Pharmacy, Inc.
• Makayla Dawn Wittmer
• Austin Tyler Yoder, DPT, LAT, ATC

• Physical Medicine & Rehabilitation Physician in Loogootee, IN
• Providers in Loogootee, IN by specialty
• Physical Medicine & Rehabilitation Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.